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Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Every word you type has to appear somewhere in the question, and the closest matches are ranked first.

Limit to evidence status or GRADE (optional)

10,375 questions in 429 reviews · Oral Health

current versions
No studies 1,344 · 13%Ungraded 6,832 · 65.9%Very low 1,228 · 11.8%Low 613 · 5.9%Moderate 290 · 2.8%High 68 · 0.7%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Rubber dam isolation vs Isolite system
Participant acceptance/satisfaction · Dental patients undergoing restorative treatment (no age or gender restriction) · Pit and fissure sealing (permanent molars)
Rubber dam isolation for restorative treatment in dental patients (2021) · Cochrane
Rubber dam may be associated with significantly lower satisfaction than the Isolite system but evidence very uncertain, mainly worse comfort (31%, P=0.02) and less preference (26%, P=0.002) (Alhareky 2014).1 study · 42 participantsVery low
Induction chemotherapy plus locoregional treatment (radiotherapy and/or surgery) vs Locoregional treatment (radiotherapy and/or surgery) alone
Overall survival, induction platinum + 5-fluorouracil prior to radiotherapy vs radiotherapy alone · People receiving curative-intent treatment for oral cavity and oropharyngeal (squamous cell) cancer
Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy (2021) · Cochrane
HR 0.85 [0.70, 1.04]5 studies · 7427 participantsModerate
ARP with xenograft (bone graft) vs Extraction alone
Changes in vertical height of alveolar ridge (mm) · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 6 to 36 months
Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane
MD -1.35 [-2.0, -0.7]6 studies · 184 participantsVery low
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Childhood dental caries · Children in cross-sectional studies · Poland, United States, Sweden, Italy, and Japan, Sensitivity: excluded Julihn et al. 2009
Correlation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and… (2021)
OR 1.63 [1.35, 1.98]5 studiesUngraded
ARP with demineralised bone matrix, single particle size vs ARP with demineralised bone matrix, multiple particle size
Changes in vertical height of alveolar ridge (mm) · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 6 months
Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane
MD 0.1 [-1.22, 1.42]1 study · 30 participantsVery low
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CT genotype vs TT genotype (heterozygous model)
Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Case-control studies of children and adults (China, India, Czech Republic, Turkey), Ethnicity: Caucasian
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 0.93 [0.56, 1.56]2 studies · 538 participantsUngraded
Fixed tooth-borne Hyrax expander vs Bonded expander plate (acrylic)
Molar expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · 1 week after completion of expansion
Orthodontic treatment for posterior crossbites (2021) · Cochrane
MD 0.36 [-0.72, 1.44]1 studyUngraded
Direct composite resin restoration vs Amalgam restoration
Secondary caries · People with permanent or adult posterior teeth requiring restoration (parallel-group trials involved children aged 6… · Follow-up >= 3 years, Split-mouth trials
Direct composite resin fillings versus amalgam fillings for permanent posterior teeth (2021) · Cochrane
RR 1.30 [0.34, 4.97]5 studiesUngraded
Edentulous (0 remaining teeth) vs 1-32 remaining teeth
All-cause mortality (ACM) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies · Community-based and clinical cohorts worldwide (all continents); events ascertained from medical records, death certificates/registers, or self-report, Crude
Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021)
HR 1.73 [1.41, 2.13]5 studies · 99303 participantsUngraded
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances
Gingival index (GI) · Adults undergoing orthodontic treatment · 6 to 12 weeks, Adults
Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021)
MD -0.10 [-0.35, 0.15]1 studyUngraded
Conventional bitewing radiography, E-speed film vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Caries detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
Specificity 0.90 [0.84, 0.93]9 studiesUngraded
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CT/CC genotype vs TT genotype (dominant model)
Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Case-control studies of children and adults (China, India, Czech Republic, Turkey), Ethnicity: Asian
Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021)
OR 1.67 [0.97, 2.87]5 studies · 1932 participantsUngraded
Double primary (canine and first molar) tooth extraction vs Single primary (canine) tooth extraction
Incidence of eruption of the PDC into the mouth · Young people aged 9 to 14 years diagnosed with one or both palatally displaced permanent maxillary canines (PDC) · 18 months (mean; mITT)
Interventions for promoting the eruption of palatally displaced permanent canine teeth, without the need for… (2021) · Cochrane
RR 0.68 [0.35, 1.31]3 studies · 119 participantsVery low
Laser fluorescence pen (DIAGNOdent 2190/Pen) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces · in vitro
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Specificity 0.77 [0.62, 0.88]4 studiesUngraded
Systemic sclerosis (SSc / scleroderma) vs SSc-free individuals (controls)
Number of decayed teeth · Adults (general and hospital populations assessed in case-control studies) · Hospital/clinic-based case-control studies from Asia, America and Europe
Oral manifestations of patients with systemic sclerosis: a meta-analysis for case-controlled studies. (2021)
SMD 0.186 [0.007, 0.365]3 studiesUngraded
Laser fluorescence (DIAGNOdent 2190/pen) vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Caries detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
AUC 0.915 studiesUngraded
ARP with alloplast vs Extraction alone
Implant failure rate · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 6 months
Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane
Outcome not reported0 studiesNo studies
Fixed bonded acrylic splint expander vs No treatment
Molar expansion (maxillary intermolar width) · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or…
Orthodontic treatment for posterior crossbites (2021) · Cochrane
MD 6.2651 studyUngraded
Arab ethnicity vs Reference ethnicity not stated
Mean DMFT · School children aged 11-17 years in Sharjah · Overall
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Regression coefficient 0.74 [0.32, 1.17]1 study · 803 participantsUngraded
Visual examination (VE) vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (1/3 dentin detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, 1/3 dentin detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
Specificity 0.84 [0.76, 0.89]1 studyUngraded
Female sex vs Male sex
Molar-incisor hypomineralization prevalence · School children aged 8-12 years in Dubai public schools · Females
Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021)
Prevalence 32.61 study · 342 participantsUngraded
Digital bitewing radiography (phosphor plates) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography)
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces · in vitro
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Specificity 0.95 [0.59, 0.995]2 studiesUngraded
Analogue (conventional) radiographs vs Digital radiographs (direct within-person / paired comparison); reference standard: histology, excavation, or enhanced visual examination
Specificity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Digital
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.88 [0.83, 0.92]15 studiesUngraded
Glass ionomer cement (for bracket bonding) vs Resin adhesive (for bracket bonding)
Initiation of white spot lesions (WSL), visual-tactile assessment · Patients of any age (11-40 years) receiving comprehensive/fixed orthodontic treatment with fixed appliances · 12-24 months follow-up, Patients undergoing fixed (multibracket) orthodontic appliance treatment; clinical/dental setting; analysis at tooth level
Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021)
RR 0.72 [0.34, 1.54]3 studies · 394 participantsVery low
Maternal smoking during pregnancy vs No maternal smoking during pregnancy
Childhood dental caries · Children in cross-sectional studies · Poland, United States, Sweden, Italy, and Japan, Sensitivity: excluded Majorana et al. 2014
Correlation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and… (2021)
OR 1.57 [1.47, 1.68]5 studiesUngraded
Nickel-titanium archwire vs Multistranded stainless steel archwire
Harms (pain) · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · first days
Orthodontic treatment for crowded teeth in children (2021) · Cochrane
No difference in overall pain, but more pain with nickel-titanium at 12 hours and day 1 (morning, afternoon, bedtime) vs multistranded stainless steel (Sandhu 2013). Narrative; no pooled estimate.1 studyUngraded
Four-point expansion appliance (Hyrax) vs Two-point expansion appliance
Canine expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · 3 months after completion of expansion
Orthodontic treatment for posterior crossbites (2021) · Cochrane
Lamparski 2003: 4-point 3.034 mm vs 2-point 1.7 mm; P=0.331 (NS, no SD)1 studyUngraded
Sealing (resin sealant, glass ionomer cement, or polyurethane tape) vs Non-invasive/control treatments (flossing, fluoride varnish/toothpaste, or dietary advice; placebo in one trial)
Radiographic proximal caries lesion progression · Patients with non-cavitated proximal caries lesions · Longest available follow-up
Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis. (2021)
OR 0.27 [0.18, 0.42]7 studies · 320 participantsModerate
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
Change in diastolic blood pressure (DBP, mmHg) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Short term (follow-up 2-3 months), People diagnosed with periodontitis
Effect of periodontal treatments on blood pressure (2021) · Cochrane
MD -2.08 [-4.84, 0.68]2 studies · 227 participantsLow
Fixed tooth-borne expansion (Hyrax) vs Observation (no treatment)
Canine expansion (inter-canine distance) · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or…
Orthodontic treatment for posterior crossbites (2021) · Cochrane
Not measured (SoF 3)0 studiesNo studies
Visual or visual-tactile classification systems (any system: ICDAS, ERK, Nyvad, Downer, Lussi, UniViSS, or unspecified) vs Reference standard (histology, excavation, radiographs/microCT, or tooth separation)
Specificity for detection of enamel caries · Asymptomatic children or adults presenting for clinical examination (in vivo studies), or extracted teeth of children… · Up to 3 months between index test and reference standard (in vivo studies)
Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane
Specificity 0.77 [0.72, 0.82]67 studiesLow
Fixed expander with differential opening expansion (DOE) vs Fixed fan-type expander
Molar expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or…
Orthodontic treatment for posterior crossbites (2021) · Cochrane
Massaro 2020: DOE 5.10 (SD 1.17) mm vs fan-type 2.23 (SD 0.75) mm; P<0.001 (favours differential opening)1 studyUngraded
Intervention NR
Dental caries prevalence · General population in Ethiopia (all ages, age range 6-100 years) · Community-, school-, and hospital/clinic-based populations across regions of Ethiopia, Others (Oromia, Harar town, SNNPR)
Dental caries and associated factors in Ethiopia: systematic review and meta-analysis. (2021)
Prevalence 0.4290 [0.2468, 0.6112]3 studiesUngraded
Radiographic imaging methods (any: analogue radiographs, digital radiographs, or CBCT) vs Reference standard (histology, excavation, or enhanced visual examination)
Sensitivity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Dentine-caries (D3) prevalence high >=35% or unreported (non-CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Sensitivity 0.50 [0.40, 0.59]NRUngraded
Electronic caries monitor (ECM) device (ECM II / ECM III / ECM IV) vs Reference standard: histology or enhanced visual examination (with or without radiographs)
Sensitivity · Children, adolescents, or adults presenting asymptomatically or suspected of early enamel caries (in vivo), or… · Up to 3 months between index test and reference standard (in vivo studies)
Electrical conductance for the detection of dental caries (2021) · Cochrane
ECM (4 studies, 475 tooth surfaces): sensitivity ranged from 0.61 to 0.98 (0.61-0.65 in three studies; 0.98 in the most recent ECM IV study). No evidence of a difference in accuracy by device type (Chi2=0.05, df=1,…4 studiesUngraded
Intervention NR
Water samples with fluoride concentration above the acceptable range · Region: South Brazil
External control of fluoridation in the public water supplies of Brazilian cities as a strategy against… (2021)
Prevalence 12.7 [0.5, 36.6]NRUngraded
Induction chemotherapy plus locoregional treatment (radiotherapy and/or surgery) vs Locoregional treatment (radiotherapy and/or surgery) alone
Disease-free survival, induction platinum + 5-fluorouracil prior to radiotherapy vs radiotherapy alone · People receiving curative-intent treatment for oral cavity and oropharyngeal (squamous cell) cancer
Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy (2021) · Cochrane
HR 0.78 [0.63, 0.97]3 studies · 332 participantsUngraded
Intervention NR
Dental caries prevalence · Rwanda
Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021)
Prevalence 0.425 [0.360, 0.489]1 studyUngraded
Copper nickel-titanium archwire vs Nickel-titanium archwire
Amount of crowding (Little's Irregularity Index) at 12 weeks · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 12 weeks
Orthodontic treatment for crowded teeth in children (2021) · Cochrane
MD 0.49 [0.35, 0.63]1 study · 66 participantsVery low
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
Plasma level of IL-6 (pg/mL) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Short term, People diagnosed with periodontitis and hypertension
Effect of periodontal treatments on blood pressure (2021) · Cochrane
MD -6.00 [-12.68, 0.68]1 study · 101 participantsUngraded
Visual examination (VE) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Specificity 0.77 [0.67, 0.85]3 studiesUngraded
Conventional bitewing radiography, E-speed film vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Caries detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
AUC 0.829 studiesUngraded
Radiographic imaging methods (any: analogue radiographs, digital radiographs, or CBCT) vs Reference standard (histology, excavation, or enhanced visual examination)
Specificity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Proximal surfaces (non-CBCT)
Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane
Specificity 0.89 [0.84, 0.93]NRUngraded
Visual or visual-tactile classification systems (any system: ICDAS, ERK, Nyvad, Downer, Lussi, UniViSS, or unspecified) vs Reference standard (histology, excavation, radiographs/microCT, or tooth separation)
Specificity for detection of enamel caries · Asymptomatic children or adults presenting for clinical examination (in vivo studies), or extracted teeth of children… · Up to 3 months between index test and reference standard (in vivo studies), Occlusal surface
Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane
Specificity 0.74 [0.66, 0.81]NRUngraded
Conventional bitewing radiography (E-speed film) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
DOR 127.56 [7.38, 2203.70]2 studiesUngraded
Conventional bitewing radiography (D-speed film) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Sensitivity 0.65 [0.57, 0.73]1 studyUngraded
Laser fluorescence (DIAGNOdent 2095) vs Cavity preparation or biopsy (operative validation)
Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo
Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021)
Sensitivity 0.88 [0.81, 0.93]1 studyUngraded
Quad-helix plus multi-bracket appliance vs Expansion arch plus multi-bracket appliance
Canine expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · 12 weeks after start of treatment
Orthodontic treatment for posterior crossbites (2021) · Cochrane
MD -0.72 [-1.52, 0.08]1 study · 52 participantsUngraded
Digital bitewing radiography, sensor-based (CCD/CMOS) vs Histological validation of dental tissues (gold standard)
Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Caries detection level
Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021)
Sensitivity 0.35 [0.26, 0.45]12 studiesUngraded
Caesarean section (C-section) delivery vs Vaginal delivery
Prevalence of early childhood caries (primary dentition) · Toddlers and preschool children, 2 to 6 years of age (primary dentition) · Caries assessed at 8 months to 6 years of age, Community/population-based; studies from Europe, Asia, South America and Israel
Is the mode of childbirth delivery linked to the prevalence of early childhood caries? A systematic review… (2021)
OR 1.48 [1.07, 2.05]11 studies · 58682 participantsVery low